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ACP-ASIM Pressroom

CONTACT: Lynda Teer, 215-351-2655 or 800-523-1546, ext. 2655

Trend Toward Hospital-Only Doctors Gets Acceptance and Criticism

Hospitalist Movement Explored From Many Angles

PHILADELPHIA—(Feb. 16, 1999) The most comprehensive exploration to date of the rapidly growing hospitalist movement has been published as a supplement to the February 16, 1999, Annals of Internal Medicine by the American College of Physicians-American Society of Internal Medicine (ACP-ASIM). Of note is the first national survey of hospitalists and their practices.

In eleven articles developed from a December 1997 national policy conference, health educators and policy leaders explore the hospitalist movement, its affect on health care, and its future outlook. Topics include:

  • the hospitalist movement and typical hospitalist models,
  • is the hospitalist a new medical specialty?,
  • how HMOs and health clinics implemented a hospitalist system,
  • perspectives of the patient, the internist, and internal medicine, and
  • the impact of hospitalists on medical education and the academic health system, and on primary care.

Hospitalists on the mailing list of the National Association of Inpatient Physicians (NAIP) were surveyed for demographic and workload information, financial aspects, and satisfaction with practice. Respondents were young (average age 40), mostly male (81 percent), and primarily internists (89 percent). Overall job satisfaction was high (94 percent).

Supplement editor Robert M. Wachter, MD, of the University of California, San Francisco, said, "The new hospitalist model has generated both passionate advocates and critics. Both sides make legitimate points, but few deny its potential to become a major—if not the major—system for inpatient care in the United States. This Annals supplement brings informed dialogue to the debate."

Annals of Internal Medicine is published by the American College of Physicians-American Society of Internal Medicine (ACP-ASIM), the nation's largest medical specialty organization. ACP, founded in 1915, and ASIM, founded in 1956, merged in July 1998. Membership comprises more than 115,000 internal medicine physicians and medical students. The National Association of Inpatient Physicians (NAIP), a co-sponsor of the supplement, is an affiliate of ACP-ASIM and is the organization representing the nation's hospitalists.
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NOTE TO EDITOR: For a copy of the complete supplement, or for individual articles from it (table of contents attached), please call the ACP-ASIM Communications Department at 215-351-2655 or 800-523-1546, ext. 2655. Also contact us to arrange author interviews or interviews with physicians or patients impacted by the hospitalist movement.


Annals of Internal Medicine, 16 February 1999
Volume 130/Number 4 (Part 2)

The Hospitalist Movement in the United States
R.M. Wachter
p. 337
An Introduction to the Hospitalist Model
R.M. Wachter
p. 338
Hospitalists and the Practice of Inpatient Medicine: Results of a Survey of the National Association of Inpatient Physicians
P.K. Lindenauer, S.Z. Pantilat, P.P. Katz, and R.M. Wachter
p. 343
The Park Nicollet Experience in Establishing a Hospitalist System
R.B. Freese
p. 350
Implementation of a Hospitalist System in a Large Health Maintenance Organization: The Kaiser Permanente Experience
D.E. Craig, L. Hartka, W.H. Likosky, W.M. Caplan, P. Litsky, and J. Smithey
p. 355
An Employer's Perspective on Hospitalists as a Source of Improved Health Care Value
A. Milstein
p. 360
The Impact of Hospitalists on Medical Education and the Academic Health System
L. Goldman
p. 364
The Hospitalist Model: Perspectives of the Patient, the Internist and Internal Medicine
H.C Sox
p. 368
The Hospitalist: A New Medical Specialty?
M.A. Kelley
p. 373
Evaluating the Impact of Hospitalists
J. Showstack, P.P. Katz, and E. Weber
p. 376
The Hospitalist: New Boon for Internal Medicine or Retreat from Primary Care?
S.A. Schroeder and R. Schapiro
p. 382

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